Miriam Rosales, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-011364 Issued in IL

Practice address

5341 W Cermak Rd Ste 201
Cicero, IL 60804-2892

Phone

(708) 656-6430

Fax

(708) 656-6591

NPI assigned

Nov 6, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miriam Covarrubias Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Service and Mental Health Center of Cicero

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cicero, IL
  • NPI 1831119767
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1013244334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 N KEELER",
            "address_2": "APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60630",
            "telephone_number": "773-733-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 W CERMAK RD STE 201",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042892",
            "telephone_number": "708-656-6430",
            "fax_number": "708-656-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4851 N Keeler Ave",
            "address_2": "APT 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606302711",
            "country_code": "US",
            "telephone_number": "773-733-6588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "MIRIAM",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-011364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "COVARRUBIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy Jeffrey Rogers, DDS
• Jorge Luis Roman
• Romo Dental III PLLC
• Andrea Romo-Serna
• Fernando Romulo Jr.
• Milagros Rosario, MSW
• Roselia Herrera MD SC
• Regina M Rossetto, LCSW
• Julie Rouse, RPH
• Amado Rueda, MD

• Professional Counselor in Cicero, IL
• Providers in Cicero, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.